Setting it Straight Dr. Oz
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Transcript of Setting it Straight Dr. Oz
Why Am I Picking on Dr. Oz?
It not just Dr. Oz, but other respected doctors in the media are
offering their opinion on Hormone Replacement Therapy who have
no formal training, formal education, or clinical experience with
the hormone replacement therapy they’re discussing. This gets
confusing for women who are on the hunt for answers.
An HRT Lesson
Before we begin, I need to set straight the differences in
Hormone Replacement Therapy (HRT).
Not all HRT is the same. Be careful who you listen to for advice.
Doctors are lead to believe all estrogens are
alike no matter what the dosage, route of
administration, if it’s from another species such
as horse estrogen, or if the estrogen is plant
based.
Not a One-Size-Fits-All
No two women are the same. HRT uneducated doctors read the
hormone sample insert in the box on how to dose the hormone,
slap a patch on the patient, give her a years prescription, and call
it HRT. Proper hormone restoration involves dosing the patient
based on her body size, body type, her symptoms, level of
deficiency, and how long she’s been deficient. These are very
critical elements in dosing.
• Types of HRT
• Forms of HRT
• Delivery methods of
HRT
• Kinds of HRT
• Dosing methods of HRT
Not All HRT Is The Same
Two Types of HRT
1. Synthetic: manufactured with chemicals
in a pharmaceutical plant.
2. Bioidentical hormones: plant base, similar
molecular structure as our own body.
1. Static: same dose every day
2. Semi-static: on one week, off the next
concept
3. Cyclic or Rhythmic: dosed to mimic the
natural cycle of the human body
Three Dosing Types of HRT
Four Generations of HRT
Not all Hormone Replacement Therapy is the
same. There’s been an evolution and an
advancement of HRT over the years. Most
women taking HRT think they’re on the correct
HRT.
First Generation HRT
• Synthetic
• Low dose
• Static dose
• Oral
Used in the Women’s Health Initiative Study
Second Generation HRT
• Bioidentical
• Low dose
• Static dose
• Transdermal
Third Generation HRT
• Bioidentical
• Optimal Dose
• Cyclic dose
• Transdermal
• Clinical Flaws
Fourth Generation HRT
• Bioidentical
• Optimal Dose
• Cyclic/Rhythmic dose
• Transdermal
• Clinical Flaws Fixed
How Estrogen Cycles
Women’s bodies cycle with the phases of the moon……..
Estrogen Tide 28 Day Ocean Tide 24 Hours
When Estrogen Gets Too Low
When estrogen gets too low, a woman will develop problems with vaginal
dryness, painful intercourse, or dyspareunia. Other symptoms of low
estrogen include endometriosis and interstitial cystitis. She can also
develop vulvodynia, which is a painful vagina with or without stimulation.
Why Isn’t My Ob-Gyn Talking About This?
Doctors, including Ob-Gyn’s and Endocrinologists,
are taught in medical school to treat the
symptoms of diseases instead of treating the root
cause of the disease, or preventing it in the first
place.
The Conventional Medicine Approach
Keep the patient with the disease but treat the
symptoms of the disease with surgeries and
pharmaceutical drugs.
Physician Education
The problem with physician education about hormone replacement
therapy is that they aren’t given the right training. Their training is
minimal at best. They're lucky to get a half hour lecture on hormone
replacement therapy and treatment of Menopause in med school. So for
the most part all of physician training on hormone replacement therapy
is from the same place that everybody else gets their training which is
the news media.
Physician Education (cont.)
Obviously the news media is sponsored by the pharmaceutical industry
and they tend to present a very distorted agenda. They report
sensationalism. Almost all of the information on hormone replacement
therapy whether it's testosterone or whether it's estrogen is
misinformation designed to instill fear in the hearts of men and women
and physicians alike so they’ll avoid the very thing that is the saving
grace of women and men at every stage of their reproductive life.
PoliticsThe FDA doesn't help by forcing the drug companies to publish in their
package inserts and the PDR all the black box warnings which suggest
that somehow hormones are a health hazard to women. Essentially the
cards are all stacked against hormones because of economic and
political reasons. This includes testosterone, estrogen, human growth
hormone. If these hormones are prescribed in the optimal levels and
maintained there throughout the life of an individual it will essentially
prevent all the degenerative diseases of aging which would make the
entire health care system and pharmaceutical and pharmacy system
obsolete overnight.
Politics (Cont.)
And we know that the political forces arrayed against optimal hormone
restoration will do everything in their power, fighting tooth and nail to
prevent a loss of their business.
Also the knowledge that we have about hormones and their health benefits
and their protocols are evolving so rapidly that anything you learned five
years ago is already mostly obsolete and not up-to-date.
By the time a medication gets through the FDA which is about a 15 year
process the knowledge, effectiveness and therapeutic implications and
applications are already out of date. This is why the FDA approval system is
completely obsolete needs to be abandoned because it's stifles innovation.
Schools of Thought
One thing that I’ve discovered about physicians, is that there are different
schools of thought depending on which issue you're talking about. For
example if you are a priest, Pastor, or Rabbi, you're all licensed by the
state to conduct religious indoctrination and services. However, your
interpretation of the Scriptures will be entirely different depending on
your denomination. A Baptist will have a totally different viewpoint than
a Mormon, a Jehovah's Witness will have a totally different perspective
than a Seventh-day Adventist. And yet these are all pastors licensed by
the state. So the training and school of thought a physician has about
hormone replacement therapy dictates how they prescribe it.
Schools of Thought (cont.)
Every doctor believes that their form of therapy is the best. Every doctor
believes that they are right and can cite scientific research to support their
viewpoint. That's why there are people who practice the old paradigm or
old school of thought. And there are individuals who are practicing a new
paradigm and a new school of thought. There will be conflict and
controversy generated between the different schools of thought. I just feel
sorry for those who espouse an old and dead paradigm. They don't realize
they're trying to convince people the world is still flat when in reality it's
round. However, if the majority of physicians still believe the earth is flat
they will try to eliminate the physicians who believe that the world is
round.
Doctors not properly educated in HRT are using
the Woman’s Health Initiative (WHI) study
findings for the “standard of care” treatment for
hormone replacement therapy based on using
Premarin and Prempro, which has absolutely
nothing to do with bioidentical hormones.
Christiane Northrup, MD
“Even if you are someone who needs (or wants to try) hormone therapy,
rest assured hormone therapy isn’t a life sentence. Menopause is not a
medical condition that requires medication, especially not for life.
Starting hormone therapy doesn’t mean you’re stuck with it forever.
And what you start with may or may not be the right thing for you in the
future. It’s fine to adjust your dosage along the way. Many women
reevaluate their HT annually, and taper off if they no longer need it.”
http://www.doctoroz.com/blog/christiane-northrup-md/should-you-take-hormones
Christiane Northrup, MD (cont.)
http://www.doctoroz.com/blog/christiane-northrup-md/should-you-take-hormones
Many bioidentical options are available by prescription – and have
been prescribed for years. Although these are excellent options, you
don’t need to go to someone who specializes in bioidentical hormones
or have a custom formulary compound created for you. Your
traditional doctor can prescribe bioidentical hormones, which are
available at most local pharmacies. Often, these drugs are paid for by
insurance. “
Dr. Prudence Hall
Practices Second Generation HRT
E2=250 most of cycle
P4=10-15
FSH=6-19 perimenopause normal
http://www.oprah.com/health/Dr-Oz-Talks-with-Dr-Prudence-Hall-About-Bioidenticals
If you need help finding a 4th generation HRT specialist, email me for
a referral at [email protected]
Fourth Generation HRT
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Thank you for listening and spending your time with me. I know how busy things can get, and it means a lot you chose to listen.
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*This information has not been evaluated by the Food and Drug Administration. Neither the information,
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The above information, comments, and opinions are for educational purposes only. At no time should it take the place of individualized evaluation and treatment recommendations provided by a qualified and licensed
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